Batra Ruchika, Gao Anna, Shun-Shin Georges Adrien
Wolverhampton Eye Infirmary, New Cross Hospital, Wolverhampton, UK.
Strabismus. 2012 Sep;20(3):105-8. doi: 10.3109/09273972.2012.680228. Epub 2012 May 31.
Traumatic inferior rectus rupture is a rare cause of diplopia following blunt trauma in the absence of blowout fracture. We report the case of a heavy goods vehicle driver, aged 42 years, with isolated rupture of the inferior rectus following blunt ocular trauma. The technique of repair, using a Hummelsheim-type procedure, is described. Good alignment was achieved at 1 month following surgery, with an excellent field of binocular vision. Other than vertical diplopia on extreme upgaze, the patient was asymptomatic and remained so 15 months following surgery. He was able to continue his job without any significant visual concerns. The surgical outcome was better than that described in previous reports of inferior rectus rupture. We feel that a Hummelsheim-type procedure is a useful option in the management of inferior rectus rupture.
外伤性下直肌断裂是钝性外伤后在无爆裂性骨折情况下导致复视的罕见原因。我们报告一例42岁重型货车司机的病例，其在钝性眼外伤后出现孤立性下直肌断裂。描述了采用胡默尔斯海姆（Hummelsheim）式手术的修复技术。术后1个月实现了良好的眼位对齐，双眼视力视野极佳。除了极度向上注视时出现垂直复视外，患者无症状，术后15个月一直如此。他能够继续工作，没有任何明显的视觉问题。手术结果优于先前关于下直肌断裂的报道。我们认为胡默尔斯海姆式手术是治疗下直肌断裂的一种有效选择。
